Kelly Madden

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

056204 Issued in NY

Practice address

25503 Union Tpke
Glen Oaks, NY 11004-1223

Phone

(718) 928-2790

NPI assigned

Sep 14, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1407767130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD FL 4",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-474-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25503 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041223",
            "telephone_number": "718-928-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "056204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lucero, LCSW
• Lisa Lumia, CRC, COTA, LMHC,
• Paula Andrea Luna Lopez
• Lisa T.P. Ma, OTR
• Rosalie D Machalow, NP
• Fnu Mahima Sharon, PT
• Shafiq Majdalawieh, DO
• Vismita Makadia
• Chitrani Makalanda, RN
• Tara Malekshahi, M.D.

• Physical Therapist in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.